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Date tsz + <br /> • Record ID' t� <br /> Prog Elem Zi <br /> SAN JOAQUIN COUNTYENV ( <br /> 304 E. WebeMAveTAThi d Floor,HEALTH <br /> 5NO2 1_v�1 <br /> (209)468-3420 <br /> JU, "ti 3 2005 <br /> MEDICAL WASTE INSPECTION FORM ViOi�hLNT f►EALTIt <br /> Facility Name �, �a G�4Pei--Facility Address 40 <br /> P ' ` <br /> Facility Contact Sc_nTitle ��Az- GaA,\ce _Phone #-ZSq-i22— <br /> INSPECTION TYPE: Aoutine ❑Complaint ❑Reinspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation <br /> of medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> en_forcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with <br /> the enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. a <br /> _5.HSC Sectiore 117900-Shall not haul med a��� i 1,k�-(--V– 1\14 p 11-1 Q &–+ �&-,4,— go 0 <br /> waste unless registered or obtained LQHE. _ �.-- n . <br /> 6.HSC Section 117903-Shall not treat med 1n 0 IL�_ `A b ml-ttA =J:zj JlT� C:L <br /> waste without permit from enforcement agency. _ <br /> _7.HSC Section 117908-Common Storage "LAI <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures CEQ <br /> rr> �I'e✓yyr4 I. C.r h o_,�$[ �,.Q <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file <br /> MP 1D 57 <br /> � with enforcement agency. <br /> 12.HSC Section 117975-LQG shall keep <br /> records for 3 years. S i Shp l 5 C <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage , <br /> _14.HSC Section 118135-Shall obtain a s <br /> permit from the enforcement agency to treat J\ <br /> medical waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment Q <br /> records shall be kept for 3 years. _ <br /> _16.HSC Section 118215-All medical wasten <br /> i <br /> n��r <br /> shall be treated pursuant to this section. ` iTT „ .�..1Q <br /> _17.HSC Section 118220-Recognizable 2 e <br /> human anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> be Destroyed or somehow prevent public access. t r� �t,�r' � � l M 0 <br /> 19.HSC Section 118275-MW red bags,path, 1 <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain S <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118310-Enclosure labeled. n <br /> _24.HSC Section 118305-Cannot reuse drums <br /> _25.HSC Section 117630-Approved biohazard <br /> bag used. <br /> 26.Other-Describe in narrative. <br /> 41nspoeor;L � <br /> natur Receiv <br />